There has been a great deal of press recently over the realization and acceptance of cancer treatments during early childhood and adulthood as a contributor to female infertility. As a consequence, girls and women who choose to undergo radiation and chemotherapy treatments are often counseled as to their options regarding their future fertility.
But what about the men and boys with cancer?
Not surprisingly, male infertility can be exacerbated or caused by cancer treatments, especially if they’ve been given drugs such as melphalan, ifosfamide, cyclophosphamide and/or procarbazine. (Those medications have high alkaline levels.) And if they’ve needed to undergo surgery or targeted radiation to their reproductive organs as a result of cancer, they may be left without healthy sperm. Sometimes, male infertility can even come about from treatments to other areas of the body, such as the abdomen or brain.
So what are men with cancer who wish to have children later in life to do?
First, it’s important to tackle the cancer as a primary concern. Though male infertility may be a consideration, it is not the most pressing one. The cancer needs to be handled foremost. However, it’s definitely recommended that all men (or parents of boys) discuss how their treatments could have lasting effects on their fertility.
Next, if a man who has had cancer (even if it was as a young child) is having difficulty conceiving with his partner, it’s critical that he be upfront about his medical history with their fertility specialist. That way, the specialist can initiate tests to determine if the infertility is related to previous cancer treatments.
Finally, it’s not the end of the world. Many fertility specialists have found success with intracytoplasmic sperm injection (ICSI), a process that requires only one sperm for fertilization. There are other options as well, including the use of viable sperm donors.
If you’d like to learn more about male infertility matters as they relate to cancer and other conditions and you are within traveling distance of Wyomissing or Chesterbrook, we invite you to set up a consultation with The Reproductive Science Institute of Suburban Philadelphia, P.C. (RSI) today.